(The General Fund is the states main operating account, which pays for education, prisons, health care, and other public services.). California voters will decide the fate of seven statewide propositions on Nov. 8. Addressing the nephrology workforce shortage via a novel undergraduate pipeline program: the Kidney Disease Screening and Awareness Program (KDSAP) at 10 years, https://lao.ca.gov/BallotAnalysis/Proposition?number=23&year=2020, https://noprop29.com/wp-content/uploads/2022/07/Side-by-side.pdf, https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-494. Conflict between labor and dialysis businesses, recently scheduled reports processed by Ballotpedia, Californians for Kidney Dialysis Patient Protection, Stop Yet Another Dangerous Dialysis Proposition, Campaign finance requirements for California ballot measures, California Proposition 8, Limits on Dialysis Clinics' Revenue and Required Refunds Initiative (2018), California Proposition 23, Dialysis Clinic Requirements Initiative (2020), Laws governing the initiative process in California, Laws permitting noncitizens to vote in the United States, Click here for the California Secretary of State page to ensure you have the most current information, Petition drive deadlines and requirements, Changes in 2022 to laws governing the initiative process, https://ballotpedia.org/wiki/index.php?title=California_Proposition_29,_Dialysis_Clinic_Requirements_Initiative_(2022)&oldid=9009613, California 2022 ballot measures, certified, Initiated statute certified for the 2022 ballot, Conflicts in school board elections, 2021-2022, Special Congressional elections (2023-2024), 2022 Congressional Competitiveness Report, State Executive Competitiveness Report, 2022, State Legislative Competitiveness Report, 2022, Partisanship in 2022 United States local elections, Californians for Kidney Dialysis Patient Protection - Yes on 29, No on 29: Stop Yet Another Dangerous Dialysis Proposition. 2012 CBS Broadcasting Inc. All Rights Reserved. The labor union SEIU is a major supporter of this measure and supported the previous two measures. .ballot-measure-endorsements ul { [36], On October 10, 2015, California Governor Jerry Brown (D) signed into law Assembly Bill No. Tobacco, What's on my ballot? Currently, there are over 19,000 candidates in California on the kidney organ transplant waiting list. The opponents include patient advocates and healthcare associations whose members might benefit from the expanded job opportunities the proposition would create: the California Medical Assn., the California chapter of the American Nurses Assn., and the American Academy of Nephrology PAs, along with the Renal Physicians Assn. 8 in 2018 and Prop. Education and Health Care Tax, Prop 55 12-year extension to the 2012 tax income tax increases on those making $250,000 or more a year. } California Department of Public Health (CDPH) Licenses and Certifies Dialysis Clinics. CDPH also certifies clinics on behalf of the federal government. } Nor is there evidence that the current arrangement has harmed patients. Opponents view the measure as a further attempt to politically and financially weaken DaVita and Fresenius Medical Care and to unionize dialysis workers, and assert that the shortage of nephrologists in the state would leave clinics unable to meet the requirements of Prop. }, The following is the argument in support of Proposition 29 found in the Official Voter Information Guide:[9], Stop Yet Another Dangerous Dialysis Proposition led the campaign in opposition to Proposition 29. Kidney Failure. 8 in 2018 and Prop. 31 Flavored Tobacco: no. The FKGL for the ballot summary is grade level 14, and the FRE is 20. If the total number is equal to at least 100 percent of the required signatures, then local election officials perform a random check of signatures submitted in their counties. Stop yet another dangerous dialysis proposition. [1], In 2020, 63.4% of voters rejected Proposition 23, which was also sponsored by SEIU-UHW. By Vittorio Nastasi November 22, 2022, Reason Foundation 29.[8]. How to run for office | What's the difference between Prop 26 and Prop 27. PROP 29 REQUIRES ON-SITE LICENSED MEDICAL PROFESSIONAL AT KIDNEY DIALYSIS CLINICS AND ESTABLISHES OTHER STATE REQUIREMENTS. Ballot measures, Who represents me? Requires Dialysis Clinics to Report Infection-Related Information to CDPH. Opponents, however, say this is just another effort by labor organizers to get the industry to unionize its workers. Con: Opponents of Proposition 29 argue that it would shut down dialysis clinics and threaten the lives of 80,000 California patients who need dialysis to survive. [5] Additionally, most patients in California already use Medi-Cal or Medicare to pay for dialysis treatments. Since then, the yes campaign has launched www.yeson29.com. width: 50%; Summary of General Obligation BondsElection Results 1986 to Present (Excel File). Why are city leaders picking winners and losers? Government regulations largely decide what these rates are. } CDPH must post each clinics infection information on the CDPH website, including the name of the clinics owner or operator. *The 2022 CalMatters Voter Guide is sponsored by the California State Library. A YES vote on this measure means: Chronic dialysis clinics would be required to have a physician, nurse practitioner, or physician assistant on-site during all patient treatment hours. Prop. Few Main Sources Pay for Dialysis. The legislation, which took effect in 2016, authorized automatic voter registration in California for any individuals who visit the Department of Motor Vehicles to acquire or renew a driver's license.[37][38]. A voter must be at least 18 years of age on Election Day. 29 would also require clinics to report to the state, and disclose to patients, if a physician owns at least a five percent stake in a clinic and would prohibit clinics from refusing to. [7] Laura C. Plantinga et al., Frequency of PatientPhysician Contact in Chronic Kidney Disease Care and Achievement of Clinical Performance Targets, International Journal for Quality in Health Care 17, no. Some owners and operators with multiple clinics can use their higher-earning clinics to help support their clinics that operate at a loss. All polls in California are open from 7:00 a.m. to 8:00 p.m. Pacific Time. [2] At the election on November 3, 2020, 63.4% of voters rejected the ballot initiative. margin-bottom: 0 !important; The proponents says the proposition is intended to improve patient care. The following list of accepted ID was current as of November 2022. Increased state and local government costs likely in the tens of millions of dollars annually. These revenues consist of payments for dialysis from a few main sources, or payers: Medicare. This amount is less than one-half of 1percent of the states total General Fund spending. requiring clinics to obtain the CDPH's written consent before closing or substantially reducing services to patients. The California Democratic Party and California Labor Federation supported the campaign. Over time, a person may develop kidney failure. All Rights Reserved. Current and valid photo identification provided by a third party in the ordinary course of business that includes the name and photograph of the individual presenting it. CON
Prop. Proposition 23 would have required chronic dialysis clinics to: have an on-site physician while patients are being treated; report data on dialysis-related infections; obtain consent from the state health department before closing a clinic; and not discriminate against patients based on the source of payment for care. It's almost identical to the 2020 measure that failed, but supporters say they did make some changes after receiving feedback from voters in 2020. You can read more about the boards mission and its members at About The Times Editorial Board. Dialysis is recommended when a person's kidneys lose most of their function. California Proposition 29, Dialysis Clinic Requirements Initiative (2022) California Proposition 29, the Dialysis Clinic Requirements Initiative, was on the ballot in California as an initiated state statute on November 8, 2022. A few hours after the solution has been pumped into the abdomen, the catheter is reopened to allow the solution to drain. [12], In the less likely event that a relatively large number of clinics would close due to this proposition, having obtained consent from CDPH, state and local governments could have additional costs in the short run. Owners and operators might respond to Proposition 29 in one or more of the following ways: Negotiate Increased Rates With Payers. On the other hand, opponents question whether an on-site medical practitioner could effectively respond to a medical emergency given the lack of equipment at most dialysis centers. [15] Kent Thiry, CEO of DaVita, argued that "Proposition 8 puts California patients at risk in an effort to force unionization of employees. Impact fees can effectively offset the need to raise additional revenue from other fees and taxes, such as property taxes. Specifically, because dialysis is a dangerous procedure, it is essential that a trained clinician be nearby to react if something goes wrong. For a third straight election, California voters are being asked to decide on a measure to regulate dialysis clinics across the state. and Sundays at 8:30 a.m. and 8:30 p.m. on KCBS All News 740AM and 106.9FM. Having on-site, fully trained physicians, nurse practitioners or physician assistants at dialysis clinics would ensure that a trained professional would be present in emergencies. 29 argue that patients have a higher chance of infection or death when a nurse practitioner, physician, or practitioner is not present and that requiring those medical professionals to be on staff would reduce the likelihood of death or infection. The word count for the ballot title is 17. If CDPH approves the exception, the clinic can meet the requirement through telehealth. Patient advocates, labor advocates and clinic operators could negotiate these changes through the normal legislative process. Peritoneal dialysis typically occurs three to five times every day, with each treatment taking about 30 to 40 minutes, according to the National Kidney Foundation. 29 will help ensure they receive safe treatment in dialysis clinics under the care of a doctor or another highly trained clinician in case of emergencies, without risk of infection, and without discrimination. Other people purchase health insurance individually. As noted earlier, an owner or operator might be able to support these clinics with its higher-earning clinics. Proposition 29 includes several requirements affecting clinics, as discussed below. Prop. Los Angeles, CA 90230 [3], Californians for Kidney Dialysis Patient Protection led the Kidney Patients Deserve Better campaign in support of Proposition 29. } [32], The initiative campaign submitted 1,018,730 raw signatures. The California Democratic Party is in favor of the measure. Educational. 29 would also prohibit clinics from refusing patient care based on the patients form of payment, whether the patient is an individual payer or whether the patients health insurer is Medi-Cal or Medicare. Any penalties collected would be used by CDPH to implement and enforce laws concerning clinics. Sacramento TheSanta Rosa Press Democratand the 11 papers that make up theSouthern California News Grouptold voters to reject Proposition 29 in recent editorials. They argue that California voters have overwhelmingly rejected similar dialysis propositions twice. The additional tax revenue would be used to fund cancer research, smoking reduction programs and tobacco law enforcement. Ballotpedia identified the following media editorial boards as taking positions on Proposition 29. These waivers, intended to ensure adequate staffing at medical facilities, remained in place as of Aug. 2022, with no end in sight but Prop. Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. Proposition 8 would have required dialysis clinics to issue refunds to patients or patients' payers for revenue above 115% of the costs of direct patient care and healthcare improvements. Plus, kidney dialysis clinics, arts and music education in public schools and the flavored tobacco ban. A single treatment lasts about four hours and happens about three times per week. How to vote | Have at least one of the following on site during patient treatments: Legislative Analysts Office, Proposition 23, November 3, 2020. The word count for the ballot summary is 84. .sbtotaltable td { Continue Current Operations, but With Lower Profits. Life is stressful. and the California Dialysis Council. text-align:center; No on Prop 31- Californians Against Prohibition is campaigning for the veto referendum to repeal SB 793. color:white !important; Its shameful that this union would continue to use vulnerable patients as pawns to advance their political agenda. Were still careening toward climate disaster, Column: The heart that Angela Bassett brings to Wakanda Forever transcends the genre, Editorial: Reckoning with UCSFs dark history of unethical medical experiments on inmates. (State and local governments currently spend more than $65billion on Medi-Cal and employee and retiree health coverage.) The ad will run statewide on broadcast, cable and digital. Requires Dialysis Clinics to Notify and Obtain Consent From CDPH Before Closing or Substantially Reducing Services. The proponents also contend that having a physician or nurse practitioner, in addition to current staff . It was not intended to be weaponized in this way. State legislature | The PAC raised over $7.9 million from the SEIU-UHW West. margin-top: 10px !important; This California farm kingdom holds a key, Six people, including mother and baby, killed in Tulare County; drug cartel suspected, These are the 101 best restaurants in Los Angeles, New Bay Area maps show hidden flood risk from sea level rise and groundwater, Editorial: 2022 brought more heat and pollution. The rates that Medicare and Medi-Cal pay for a dialysis treatment are fairly close to the average cost for clinics to provide a dialysis treatment. Copyright 2023 KGO-TV. If the random sample estimates that more than 110 percent of the required number of signatures are valid, the initiative is eligible for the ballot. MORE | What's the difference between Prop 26 and Prop 27? The free college has both its own pros and cons so make the decision wisely! Clinics Could Respond to Higher Costs in Different Ways. Prop. California's current cigarette tax is 87 cents per pack. If there is a shortage of licensed healthcare workers available to monitor. CA Scandal-Makers & Movie-Makers Shape 2022's Most Popular Baby Names Join dialysis patients, American Nurses Association\California, California Medical Association and patient advocates: NO on 29another dangerous dialysis proposition! This means the kidneys no longer work well enough for the person to live without a kidney transplant or ongoing treatment called dialysis. -moz-columns: 1; Requires dialysis clinics to enact extra procedures and restrictions that increase patient oversight, including on-site medical practitioners, data reporting and financial transparency. INITIATIVE STATUTE. The Los Angeles Times editorial board determines the positions of The Times as an institution. Take a look at the latest stories and videos about the 2022 Midterm Elections here. Proposition 29 Increases Costs for Dialysis Clinics. Requires clinics to report dialysis-related infection data to state. All rights reserved. The initiative was also opposed by the Republican Party of California, California Chamber of Commerce, and California Medical Association. Overall, the proposition would increase costs for clinics. Plus, kidney dialysis clinics, arts and music education in public. Federal courts | Prop. The substances removed from the bloodstream are deposited in the bladder and discharged as urine.[25][26][27]. This measure would result in higher operating and penalty costs for dialysis clinics. California Proposition 29, Dialysis Clinic Requirements Initiative (2022). An on-site doctor would not have the authority to make changes to the care prescribed by a patients doctor. Prop. columns: 2; The 2022 initiative and the two before it was placed on the ballot by the Service Employees International Union-United Healthcare West, which is in a protracted battle with the two largest private dialysis companies, DaVita and Fresenius, to organize workers. !function(){"use strict";window.addEventListener("message",(function(e){if(void 0!==e.data["datawrapper-height"]){var t=document.querySelectorAll("iframe");for(var a in e.data["datawrapper-height"])for(var r=0;r
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